Manchego Cheese

Yes. Manchego cheese can be firm, and it can form a sticky mass in the mouth—all qualities that increase choking risk. To reduce the risk, prepare and serve manchego in an age-appropriate way as described in the How to Serve section. As always, make sure you create a safe eating environment and stay within an arm’s reach of baby during meals. 

Learn the signs of choking and gagging and more about choking first aid in our free guides, Infant Rescue and Toddler Rescue.

In a sense, yes. Manchego is made from sheep’s milk, and while it is considered to be dairy, sheep’s milk is generally not recognized to be as common of an allergen as cow’s milk. That said, dairy products from ruminants such as sheep, goat, and buffalo may provoke similar allergic reactions as cow’s milk dairy products. If baby is allergic to dairy, know that it is an allergy that often disappears with time. Note: Aged cheeses generally contain histamines, which may cause rashes in children who are sensitive to them.

While cow’s milk is recognized as a known trigger of food protein-induced enterocolitis syndrome (FPIES), it is recommended that babies with FPIES to cow’s milk also avoid the milk of other ruminants, such as sheep. FPIES is a delayed allergy to food protein which causes the sudden onset of repetitive vomiting and diarrhea to begin a few hours after ingestion. This is termed acute FPIES. Left untreated, the reaction can result in significant dehydration. When milk is in the diet regularly, FPIES can present as reflux, weight loss, and failure to thrive - this is termed chronic FPIES. Symptoms generally improve with elimination of milk from the baby’s diet. Thankfully, like other forms of milk allergy, FPIES which presents early in life is generally outgrown by the time a child has reached 3-5 years of age.

Lactose intolerance, which is when the body has a hard time processing lactose, the sugar that is naturally present in milk, can sometimes be mistaken for an allergy, as it can result in bloating, gas, diarrhea, nausea, and other discomfort. For those with older children who are lactose intolerant (keep in mind this is uncommon for infants and toddlers), some good news: compared with milk and certain other dairy products, many cheeses may be better tolerated by those with lactose intolerance, particularly aged cheeses, which have lower lactose content. Be sure to connect with an appropriate pediatric health care professional for any questions about lactose intolerance, and know there are many lactose-free dairy foods available. 

If you suspect baby may be allergic to milk, consult an allergist before introducing dairy products like cheese. Based on a baby’s risk factors and history, your allergist may recommend allergy testing, or may instead advise dairy introduction under medical supervision in the office. If the risk is low, you may be advised to go ahead and introduce cheese in the home setting. As with all common allergens, start by serving a small quantity on its own for the first few servings, and if there is no adverse reaction, gradually increase the quantity over future meals.

No, not when it is consumed as an ingredient in food as part of a varied diet. While manchego is high in sodium, the amount of sodium that babies eat tends to be low as they learn the skills to feed themselves, and some sodium is important for supporting baby’s electrolyte balance, hydration, and movement. While many health organizations recommend avoiding or reducing salt in food shared with baby, recent reviews of literature suggest that this may not be necessary. Furthermore, sharing family meals, even if they contain salt, has its benefits: baby has opportunities to explore a wider variety of food, share their family food culture, and practice eating a variety of textures. Manchego cheese is often made from unpasteurized (raw) milk; choose pasteurized manchego to reduce the risk of foodborne illness.

While a high chair can help create a safe eating environment, there are alternative ways for baby to eat safely, such as holding the child on your lap or sitting together on the floor. For more information, see our article on high chairs.

There are many wonderful options. Look for foods that are easy for baby to feed to themselves, that are low in choking risk, and that offer nutrients babies need, such as iron. A few of our favorite first foods include cooked broccoli, oatmeal, and mango pits.